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通过人为因素工程方法在减少结直肠手术部位感染方面取得进展。

Gaining momentum in colorectal surgical site infection reduction through a human factors engineering approach.

机构信息

Department of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin.

William S. Middleton Memorial Veterans' Hospital, Madison, Wisconsin.

出版信息

Infect Control Hosp Epidemiol. 2021 Jul;42(7):893-895. doi: 10.1017/ice.2020.1322. Epub 2020 Dec 7.

DOI:10.1017/ice.2020.1322
PMID:33280622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8496553/
Abstract

Surgical site infection (SSI) prevention requires multiple interventions packaged into "bundles." The implementation of all bundle elements is key to the bundle's efficacy. A human-factors engineering approach can be used to identify key barriers and facilitators to implementing elements and develop recommendations for bundle implementation within the clinical work system.

摘要

手术部位感染（SSI）预防需要将多个干预措施打包成“捆绑包”。实施捆绑包的所有要素是其有效性的关键。可以采用人为因素工程方法来确定实施要素的关键障碍和促进因素，并为临床工作系统内的捆绑包实施提出建议。

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本文引用的文献

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Implementation of a Clostridioides difficile prevention bundle: Understanding common, unique, and conflicting work system barriers and facilitators for subprocess design.实施艰难梭菌预防措施包：了解常见、独特和冲突的工作系统障碍和促进因素，以设计子流程。
Infect Control Hosp Epidemiol. 2019 Aug;40(8):880-888. doi: 10.1017/ice.2019.150. Epub 2019 Jun 13.
2
Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review.捆绑预防结直肠手术后手术部位感染：荟萃分析和系统评价。
J Gastrointest Surg. 2017 Nov;21(11):1915-1930. doi: 10.1007/s11605-017-3465-3. Epub 2017 Jun 15.
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The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings.预防性手术部位感染包在结直肠手术中：减少手术部位感染和节约医疗成本的有效方法。
JAMA Surg. 2014 Oct;149(10):1045-52. doi: 10.1001/jamasurg.2014.346.
4
Developing an argument for bundled interventions to reduce surgical site infection in colorectal surgery.为减少结直肠手术部位感染的捆绑干预措施制定论据。
Surgery. 2014 Apr;155(4):602-6. doi: 10.1016/j.surg.2013.12.004. Epub 2013 Dec 14.
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SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.SEIPS 2.0：一种用于研究和改善医疗保健专业人员和患者工作的人因学框架。
Ergonomics. 2013;56(11):1669-86. doi: 10.1080/00140139.2013.838643. Epub 2013 Oct 3.
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A bundle of care to reduce colorectal surgical infections: an Australian experience.一篮子护理措施以降低结直肠手术感染：澳大利亚经验。
J Hosp Infect. 2011 Aug;78(4):297-301. doi: 10.1016/j.jhin.2011.03.029. Epub 2011 Jun 12.
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Surg Infect (Larchmt). 2009 Dec;10(6):539-44. doi: 10.1089/sur.2009.006.
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Work system design for patient safety: the SEIPS model.以患者安全为导向的工作系统设计：SEIPS模型。
Qual Saf Health Care. 2006 Dec;15 Suppl 1(Suppl 1):i50-8. doi: 10.1136/qshc.2005.015842.